Citistar-4 250 mg Injection 4 ml belongs to a group of medications called 'psychostimulants' used to treat disturbances of consciousness resulting from head injuries, brain operation and acute stage of cerebral infarction (stroke) in adults.

Citistar-4 250 mg Injection 4 ml contains 'Citicoline', which stabilizes cell membranes by increasing phosphatidylcholine and sphingomyelin synthesis and by inhibiting the release of free fatty acids; thereby, it enhances recovery in patients who had their consciousness disturbed by a head injury or any other brain-related problem and who underwent surgery.

In some cases, Citistar-4 250 mg Injection 4 ml may cause injection site reactions, rash, insomnia (inability to sleep), nausea, feeling of warmth, anorexia (loss of appetite), convulsions, transient diplopia (double vision) and dyspnea (shortness of breath). If these side effects persist or worsen, consult your doctor immediately. 

Citistar-4 250 mg Injection 4 ml is not recommended to be used in patients with over-functioning of the sympathetic nervous system or who have a history of hypersensitivity to Citicoline. If you are pregnant or breastfeeding, please inform your doctor so that your doctor will weigh the benefits and any potential risks before prescribing it to you. Citistar-4 250 mg Injection 4 ml may cause irregular body movement and double vision; thus, avoid operating machinery or driving after taking this medicine. 

Citistar-4 250 mg Injection 4 ml contains 'Citicoline’, a psychostimulant or nootropic drug used to nourish and minimize damage to the nerve cells in various conditions associated with the brain. It increases the activity of the central nervous system (brain and spinal cord) and regenerates nerve cells by promoting the synthesis of phospholipids in the brain. it improves recovery in patients who had their consciousness disturbed by a head injury or any other brain-related problem and who underwent surgery.

• Rash
• Insomnia
• Numbness of paralyzed extremities
• Nausea (feeling of sickness)
• Feeling of warmth
• Convulsions (irregular movement of the body)
• Anorexia (loss of appetite)
• Transient Diplopia (double vision)
• Malaise (discomfort or illness)
• Dyspnea (shortness of breath)

Let your doctor know if you are allergic or hypersensitive to any medicines. Inform your doctor if you are suffering from kidney, liver, or heart diseases. Citistar-4 250 mg Injection 4 ml should not be used in conjunction with meclofenoxate or clophenoxate-containing medications. Notify your doctor about your medical history and medications in order to rule out any potential negative effects.

Drug-drug interactions: Citistar-4 250 mg Injection 4 ml may interact with antiparkinsonian drugs (levodopa, carbidopa) and nootropic drugs (centrophenoxine, meclofenoxate).

Drug-food interactions:  No interactions found.

Drug-disease interactions: Inform your doctor if you have hypertonic of the parasympathetic (over-functioning of the sympathetic nervous system).

• LEVODOPA
• CARBIDOPA
• CENTROPHENOXINE
• MECLOFENOXATE

• Include green, leafy vegetables and other non-starchy vegetables (tomatoes, broccoli, cauliflower, etc.) in your diet.
• Strawberries, blueberries, blackberries, and nuts may help reduce inflammation in the brain. 
• Use olive oil for cooking purposes. It contains healthy fats that promote brain health.  
• Eat whole grains such as oats, quinoa, and brown rice that are rich in nutrients. 
• Opt for fish oil or eat fish (preferably fatty fish like salmon, sardines, trout, and tuna) at least once a week. They are rich in omega-3 fatty acids essential for the brain's normal functioning. 
• Avoid fried, processed, and packed foods. 
• Quit alcohol intake and smoking.
• Exercise regularly. 

Acute cerebral infarction (stroke): Stroke, also called cerebrovascular (CVA) stroke, occurs when there is a decreased blood supply to the brain due to the presence of a blood clot or leakage of blood vessels. The decrease in blood supply leads to a decrease in oxygen and nutrients resulting in the death of brain cells. This condition leads to paralysis of the face, arm, or leg, slurred speech, headache, and difficulty walking.

Head trauma: A head injury (head trauma) is any type of injury to the brain, skull, or scalp. This might range from a minor bump or bruise to a severe brain injury. Concussions, skull fractures, and scalp injuries are examples of common head injuries. The effects and therapies vary widely depending on what caused the head trauma and its severity.